The Professional plan provides additional coverage that is not included in the Core and Blue plans. It also offers specialist visits and higher annual limits on treatment and services.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R2175
Dependant Member
From R1680
Child Dependant
From R1010
Executive
The Executive plan offers the most comprehensive coverage, including scripted and OTC medicine, specialist coverage, maternity pre-birth and postnatal benefits, accidental disability, and several other related medical services.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R535
Dependant Member
From R535
Child Dependant
From R400
Core
The Core plan provides essential coverage for doctor visits, prescribed medication, optometry services, illness and injury in emergencies, accident protection, and additional benefits.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R1080
Dependant Member
From R1060
Child Dependant
From R675
Blue
The Blue plan provides coverage for dentistry, dread diseases, natural births, emergency caesareans, trauma counseling, and several other related medical services.
Overall, Oneplan Health Insurance is a trustworthy and comprehensive health insurance provider that offers 24/7 medical emergency assistance and Chronic Illness Benefits for each Family Member. The Oneplan Health Insurance Plans start from R250 on the Health Plan.
Oneplan Health Insurance has the following six plans to choose from:
Oneplan Health Insurance – Advantages over Competitors
Provides affordable medical coverage with various plans, including the Oneplan Core Plan, Oneplan Blue Plan, Oneplan Professional Plan, and Oneplan Executive Plan.
✅ Offers comprehensive medical cover, including hospitalization and day-to-day benefits, as well as dental, optical, maternity, and chronic medication benefits.
✅ Provides access to a network of healthcare providers, including general practitioners, dentists, and optometrists.
✅ Offers a range of benefits to suit different budgets and medical needs, making it accessible to a wide range of customers.
✅ Allows for easy claim submissions through the Oneplan Health App, reducing the administrative burden on customers.
✅ Provides excellent customer service with knowledgeable consultants who are patient in explaining policy details and answering customer queries.
✅ Covers transport of mortal remains within South Africa to a funeral home more than 100km away, with up to R15 000 paid directly to the transporter.
How to apply for Health Insurance with Oneplan Health
To apply for Health Insurance through Oneplan, you must:
✅ Choose the plan that best suits your medical needs and budget.
✅ Click on the “Get a Quote” button for the chosen plan.
✅ Fill in the required personal details and medical information.
✅ Review and accept the terms and conditions of the chosen plan.
✅ Make the necessary payments as per the chosen plan.
✅ Receive confirmation of your cover and membership details.
✅ Download the Oneplan Health App to manage your medical coverage, submit claims, and access other value-added benefits.
Alternatively, you can call Oneplan Health and speak to one of their knowledgeable consultants, who will guide you through the application process and answer any queries.
Claim submission with Oneplan Health is simple and can be accomplished in a few straightforward steps:
✅ Download the Oneplan Health application from the App Store or Google Play Store and sign into your account. If you do not have the mobile application, you can also submit claims via the Oneplan Health website.
✅ Select “Submit a Claim” from the app or website’s menu.
✅ Follow the prompts to provide the required information, including the date and specifics of the medical service or treatment received, the healthcare provider’s name, and the amount charged.
✅ Upload any necessary documentation to support your claims, such as invoices or receipts.
✅ Send your claim to be processed.
After receiving your claim, Oneplan Health will evaluate it and notify you of the outcome. Then, payments are deposited directly into your Oneplan Health account, which you can use to pay for medical expenses.
💙 You might also like to read more about the Authorisation Process at Oneplan Health Insurance.
How to Submit a Compliment or Complaint with Oneplan Health
If you would like to provide Oneplan Health with a compliment or complaint, you can do so in the following ways:
✅ Contact the Oneplan Health customer service department to speak with a representative. They will be able to assist you with your compliments or criticism.
✅ Send an email to Oneplan Health. Include the date, time, and location of the incident and any pertinent information such as the name of the staff member involved in your compliment or complaint.
✅ Visit the “Contact Us” section of the Oneplan Health website or the Oneplan Health app and log in. Complete the provided form with your name, contact information, and the specifics of your compliment or complaint.
Oneplan Health takes all compliments and complaints seriously and investigates and responds expeditiously. In addition, they are committed to providing superior customer service. Therefore, they will make every effort to address any issues or concerns.
How to Switch My Health Insurance to Oneplan Health
It is simple to switch from your current health insurance to Oneplan Health. Here are the subsequent steps:
✅ Research and compare the plans and benefits of Oneplan Health to ensure that they meet your budgetary and medical needs.
✅ Contact Oneplan Health’s customer service team to speak with a consultant or visit their website. They will walk you through the procedure and provide any necessary information.
✅ Provide the consultant with information regarding your current health insurance, including your current insurer’s name and the specifics of your current policy.
✅ Select the Oneplan Health plan that meets your needs and budget the best. The consultant will explain the selected plan and assist you with the application process.
Furthermore, you must follow the correct cancellation procedures when canceling your health insurance policy. Once your Oneplan Health policy is activated, you can begin utilizing your new medical cover.
Oneplan Health Insurance is committed to providing clients with superior customer service. Here are a few of the ways they assist their clients:
✅ Oneplan Health Insurance has a customer service team that is available to assist clients with any questions or concerns they may have. They are accessible via the phone, email, and live chat.
✅ The Oneplan app provides clients convenient access to their policy details, claims history, and benefits. They can also submit claims and view their available benefits using the app.
✅ Oneplan Health Insurance provides online resources, including a knowledge base and frequently asked questions, to help clients understand their policies and benefits.
✅ Oneplan Health Insurance is active on social media platforms, including Facebook and Twitter, where they interact with clients and provide updates.
Complaints and compliments: Oneplan Health Insurance has a dedicated complaints and compliments process to ensure that client feedback is received and addressed expeditiously and effectively.
“I highly recommend Oneplan Health to anyone needing health insurance. The agent assigned to me was knowledgeable and patient in answering all my questions, making the sign-up process seamless.” – Buhle Banda
Exceeded Expectations.
“Oneplan Health has consistently exceeded my expectations. Their support and service have been invaluable, especially when I added a new baby to my policy. The payment process has also been smooth sailing.” – Melanie Bothma
Exceptional Service.
“Oneplan Health’s benefits and services were explained so that I could understand and align them with my specific needs. The exceptional service provided by their team has been second to none.” – Henry van der Ruiter
Oneplan Health Pros and Cons
✅ Pros
❌Cons
A comprehensive range of health insurance plans
Waiting periods for certain benefits
Customizable plans to fit individual needs and budgets
Cover limits on certain benefits
Innovative and technology-driven approach to healthcare
Exclusions on certain conditions or treatments
You have the freedom to choose any medical practitioner registered in South Africa and receive treatment at any hospital, private or state-owned.
Hassle-free claims process
Our Verdict on Oneplan Health
Individuals and families can select from affordable medical insurance plans provided by Oneplan Health Insurance, an innovative and customer-centric healthcare solution. Oneplan’s approach to health / medical insurance differs from conventional medical aid programs in providing a more flexible and cost-effective way of accessing healthcare.
One of the distinguishing characteristics of Oneplan is its extensive selection of health insurance plans, which accommodate a variety of budgets and healthcare requirements.
Furthermore, Oneplan’s plans range from hospitalization coverage to comprehensive health insurance with additional dental and routine care benefits. One plan’s unique selling proposition is the ability to tailor plans to meet individual needs and budgets. Oneplan’s dedication to innovation and technology is a further one of its strengths.
For instance, the Oneplan app provides clients with a simple and convenient way to manage their policies and benefits, such as submitting claims and viewing available benefits.
Other Medical Insurance plans Oneplan Health offers to consider.
Oneplan Health is a health insurance provider in South Africa that provides individuals and families with affordable and comprehensive health insurance options, including dental and vision coverage.
What types of health insurance plans does Oneplan Health offer?
Oneplan Health provides a variety of medical & health insurance plans that cover various healthcare needs, including pre-existing conditions and chronic illnesses, maternity care, mental health services, and health insurance for seniors.
Is Oneplan Health Insurance affordable?
Yes, Oneplan Health Insurance offers cheap health / medical insurance options that accommodate a variety of budgets and healthcare requirements, giving individuals and families access to high-quality care at lower premiums than medical aid schemes.
Is Oneplan Health Insurance suitable for self-employed individuals who need affordable health insurance?
Yes, Oneplan Health Insurance provides self-employed individuals who want to protect themselves and their families with affordable health insurance options.
Does Oneplan Health Insurance offer dental and vision coverage?
Yes, Oneplan Health Insurance provides comprehensive dental and vision coverage, ensuring you and your family can access your required care.
💙 You might like to read more about the OnePlan Dental Network
Is Oneplan Health Insurance suitable for senior citizens?
Yes, Oneplan Health Insurance offers health insurance options that include wellness benefits, which assist individuals in maintaining their health and preventing illness.
How do I Downgrade My Plan with Oneplan Health?
To downgrade your Oneplan Health plan access the Oneplan Health website or the Oneplan Health app and proceed to your account’s “Membership Details” section.
How do I add a Beneficiary to Oneplan Health?
If you want to add a child or adult dependent, you can log into your Oneplan profile and proceed to your account’s “Membership Details” section.
Adriaan Schoeman
Adriaan holds an MBA and specializes in medical aid research. With his commitment to perfection, he ensures the accuracy of all data presented on medicalaid.com every three months. When he is not conducting research, Adriaan can be found indulging in his passion for trout fishing amidst nature.
